How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Olsen Your Own Question

Dr. Olsen
Dr. Olsen, Psychologist
Category: Mental Health
Satisfied Customers: 2336
Experience:  PsyD Psychologist
Type Your Mental Health Question Here...
Dr. Olsen is online now
A new question is answered every 9 seconds

My 11 year godchild was told he has brain damage from bacterial

Customer Question

My 11 year godchild was told he has brain damage from bacterial meningitis as a two month old infant, he has cone dystrophy as well, also they think attributed to the meningitis. He is very very intelligent and learns quickly even with the sight probs, but he is prone to violent outbursts and "curses like an adult"...saying things very inappropriate for his age and the fact he's been sheltered away from such elements. His parents are at wit's end tonight as he has for the last year become increasingly more and more destructive of the home and things in the home...When he is not in an outburst, he is very gentle speaking and loving...He is on Klonopin, Seroquel and Lexapro...now...Don't know what to do anymore...Any suggestions will be appreciated at this point to seek further treatment as I'm afraid he will hurt his parents. m
Submitted: 1 year ago.
Category: Mental Health
Expert:  Dr. Olsen replied 1 year ago.
Hi
Thank you for writing in JustAnswer.
I'm sorry to hear about this boy's situation.
Let me ask you a few questions first.
Does he have any medical condition now?
Does he have learning difficulty?
Are these medications helping him?
Please let me know by clicking on “Reply” and I will then craft my response.
I look forward to hearing from you.
Warm Regards,
Customer: replied 1 year ago.
No, just what is described in the note above. He has no learning difficulty; very bright and navigates a computer better than most adults since the age of 5...I would think the only one heloing is the one he takes to fall asleep at night!
Expert:  Dr. Olsen replied 1 year ago.
Hi there,
Thank you for your response.
May I ask another question?
What is his diagnosis? Bipolar disorder or ADD/ADHD or something else?
Customer: replied 1 year ago.
intermittent ? outbursts...they said the part of brain controlling his emotions was damaged by the meningitis
Customer: replied 1 year ago.
Have you made a diagnosis?
Expert:  Dr. Olsen replied 1 year ago.
Hi there,
Thank you for your reply.
It sounds like this boy may have intermittent explosive disorder.
Then, I can understand his occasional violent outbursts.
Individual therapy, group therapy, parent education, and nutrition can be helpful. Cognitive behavioral therapy (CBT) helps people with intermittent explosive disorder. CBT will identify which situations or behaviors may trigger an aggressive response. He can learn anger management techniques and relaxation exercises.

They can call your insurance company and get a list of providers in your area.
Or, you can search a licensed psychotherapist or a counselor on internet- such as the PSYCHOLOGY TODAY website. Go to (http://therapists.psychologytoday.com/ppc/prof_search.php?iorb=4764) and enter your zip code and optional category of specialty such as Anger management and children. Read psychotherapists’ profile to see if he or she specializes in Anger management counseling or Cognitive-Behavior therapy (CBT) and children.
You may also want to create your mental image of psychotherapist that he wants to work with – Male or female? Old or young? To note, many therapists offer initial consultation for free. So they can see it as an informational meeting. They can ask any question. They can also negotiate psychotherapy fee and number of sessions.
If they need a low fee counseling or have no health insurance, they may call The United Way toll free # XXXXX (Dial 2-1-1)to find the community mental health centers in their area in which he can get counseling even without health insurance.

Regarding pharmacological treatment for depression, a number of medications are available to treat intermittent explosive disorder.
Finding the right medication for him will likely take some trial and error. It is necessary for his parents and his doctor to work together to find the right medication for him.

Also, a heart-healthy diet like Omega 3 fatty acid may improve his brain functioning and mood. Focus on fruits, vegetables and whole grains. Choose low-fat protein sources, such as fish, lean meat and skinless poultry. Hydrate self during daytime.

Physical activity increases blood flow to his whole body, including his brain. This may help improve his mood.
In addition, yoga, biofeedback, acupuncture, and massage therapy may be helpful to improve his mood.

I hope this boy can manage anger and wild mood swings better over time with all available help from hid doctor, a child psychologist/psychotherapist, and a specialist.

Please let me know if you have more questions or I have overlooked any. Warm regards,
Customer: replied 1 year ago.
One doctor told her to lock him in his room from the outside...Another said to put him in "jail" a real jail! She's thinking her only recourse is institutionalization, which another suggested...Tonight he destroyed their laminate floor in the living room with a metal plant holder which he broke apart...she mentioned that the whole floor has to be replaced...there are holes...He's only 95 lbs at present..Is it common in this condition to "wish they were dead" or dream up stories like, you are not my parents, you killed my parents...And I am doomed...The cursing just blows my mind, terrible words for an otherise gentle little soul..Could the drugs have such side effects, he takes them at different times of the day, as I understand...
Expert:  Dr. Olsen replied 1 year ago.
Hi there,
This is a very sad situation. I wonder if these medications are not helping him. Seroquel is used to treat schizophrenia or bipolar disorder. It may cause a behavior change as a side effect.
They should report his behavior change to his doctor, though his doctors seem to know it already.

Does he have Bipolar disorder as well? Seroquel is used to treat schizophrenia or bipolar disorder.
This boy needs ongoing treatment in an outpatient or inpatient setting.
Bipolar disorder is dysregulation of mood, attention and energy.
Children with Bipolar disorder typically exhibit temper tantrums, outbursts, meltdowns; irritability, depression, and ADHD symptoms like hyperactivity and distractibility.

Please review available Bipolar disorder treatments on the following link:
http://www.nimh.nih.gov/health/publications/bipolar-disorder/complete-index.shtml#pub8

Ideally, he may need to be treated by a specialist in juvenile bipolar disorder.
Stanford University School of Medicine has experts. You may contact them and ask for a specialist in your area.
Please review - http://bipolar.stanford.edu/patient.html

Or call Depression and Bipolar Support Alliance(NNN) NNN-NNNNor The National Alliance on Mental Illness(NNN) NNN-NNNNto find experts (psychiatrists and child psychologists) in their area.

Please let me know if you have more questions or I have overlooked any. Warm regards,

Customer: replied 1 year ago.
I'm fairly certain my niece has reported the obvious deterioration in his condition since the introduction of all of these drugs, but they seem not to attribute the even worse behavior on the drugs...frankly, any drugs I take do not have a positive effect on myself, that is why I avoid most all except bp and glaucoma meds! With his eyesight probs he doesn't get out doors except to swim with his mom....
Expert:  Dr. Olsen replied 1 year ago.
Hi there,
I'm so sorry to hear about this boy's situation.
I'm not sure of how long he has taken these meds.
But, Seroquel may cause side effects such blurred vision and altered consciousness. It's possible these meds or some may not work for his condition.

If he is breaking his parents' property and dangerous to self and others like this, call a local mobile crisis team or psychiatric emergency response team designated by his city and county to initiate psychiatric assessment and involuntary hospitalization.
Or, seek help immediately. Call 1-800-273-TALK (8255) to reach a 24 hour crisis center or dial 911 for immediate assistance.
Dr. Olsen, Psychologist
Category: Mental Health
Satisfied Customers: 2336
Experience: PsyD Psychologist
Dr. Olsen and other Mental Health Specialists are ready to help you
Expert:  Dr. Olsen replied 1 year ago.
Do you have a question?
Please let me know if you have more questions or I have overlooked any. Warm regards,
Customer: replied 1 year ago.
I appreciate the info and will pass it on to my niece as she has an appointment with a new doctor for my god-son tomorrow...I just pray this is the one that can help them as my niece's husband is in need of a cardiologist and is diabetic and has been in crisis for the last several days...waiting for the name of the dr. for him as we speak...Thanks again!
Expert:  Dr. Olsen replied 1 year ago.
You are welcome.
I pray for your godson. I hope he finds a good doctor and gets appropriate treatment.
All the best,

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education